How much rates vary
Facilitymedian $417 · 10th to 90th $251 to $1,096Professionalmedian $389 · 10th to 90th $275 to $955
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $234.42 Median $275.42 Typical High $398.11 | Facility | None | $234.42 | $275.42 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $398.11 | Professional | None | $275.42 | $275.42 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $660.69 Typical High $1,288.25 | Facility | None | $645.65 | $660.69 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $1,148.15 | Professional | None | $389.05 | $389.05 | $1,148.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $85.11 | Professional | RR · Rental | $38.90 | $38.90 | $85.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $524.81 | Professional | UE · Used equipment | $295.12 | $295.12 | $524.81 |
CDPHP Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $457.09 | Facility | None | $416.87 | $416.87 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Emblem Health Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $2,344.23 | Facility | None | $645.65 | $1,071.52 | $2,344.23 |
Emblem Health Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $1,148.15 | Professional | None | $426.58 | $602.56 | $1,148.15 |
Excellus BCBS Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Excellus BCBS Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $537.03 | Professional | None | $251.19 | $380.19 | $537.03 |
MVP Health Care Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
MVP Health Care Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $954.99 | Professional | None | $380.19 | $380.19 | $954.99 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $1,047.13 | Facility | None | $426.58 | $467.74 | $1,047.13 |
United Setting Professional Modifier None Typical Low $213.80 Median $389.05 Typical High $489.78 | Professional | None | $213.80 | $389.05 | $489.78 |
Univera Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $380.19 | Facility | None | $251.19 | $251.19 | $380.19 |
Univera Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $537.03 | Professional | None | $251.19 | $380.19 | $537.03 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $199.53 | Professional | 52 · Reduced service | $138.04 | $138.04 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $81.28 | Professional | 53 · Discontinued | $54.95 | $54.95 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $60.26 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $39.81 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $39.81 |
Where New York sits
The same service costs 3.9 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New York· 38th of 51
$389
HI $1,175DE $302
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.